Evidence map›Paper›PMID 34852003›Full record

SynthesisPloS one2021

Improving oral health in people with severe mental illness (SMI): A systematic review.

Alexandra Macnamara, Masuma Pervin Mishu, Mehreen Riaz Faisal, Mohammed Islam, Emily Peckham

Abstract readSystematic Review
In one paragraph

Synthesis in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The Australian and New Zealand journal of psychiatry · 2026
    Guideline
  2. Article
  3. Article
  4. Co-Producing an Intervention Involving Dental Professionals Providing Oral Health Support in a Mental Healthcare Setting.Health expectations : an international journal of public participation in health care and health policy · 2026
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Managing patient mental health disclosures in Canadian dental and dental hygiene programs.Canadian journal of dental hygiene : CJDH = Journal canadien de l'hygiene dentaire : JCHD · 2025
    Review
  14. Article
  15. Article
  16. Developing a Consensus Statement to Target Oral Health Inequalities in People With Severe Mental Illness.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Alexandra MacnamaraThe University of York and Hull York Medical School, Castle Hill Hospital, York, United Kingdom.ORCID 0000-0002-7585-4655
Masuma Pervin MishuDepartment of Health Sciences, The University of York, York, United Kingdom.
Mehreen Riaz FaisalDepartment of Health Sciences, The University of York, York, United Kingdom.
Mohammed IslamHull University Teaching Hospitals NHS Trust, Hull, United Kingdom.
Emily PeckhamDepartment of Health Sciences, The University of York, York, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThose with severe mental illness (SMI) are at greater risk of having poor oral health, which can have an impact on daily activities such as eating, socialising and working. There is currently a lack of evidence to suggest which oral health interventions are effective for improving oral health outcomes for people with SMI.

aimsThis systematic review aims to examine the effectiveness of oral health interventions in improving oral health outcomes for those with SMI.

methodsThe review protocol was registered with PROSPERO (ID CRD42020187663). Medline, EMBASE, PsycINFO, AMED, HMIC, CINAHL, Scopus and the Cochrane Library were searched for studies, along with conference proceedings and grey literature sources. Titles and abstracts were dual screened by two reviewers. Two reviewers also independently performed full text screening, data extraction and risk of bias assessments. Due to heterogeneity between studies, a narrative synthesis was undertaken.

resultsIn total, 1462 abstracts from the database search and three abstracts from grey literature sources were identified. Following screening, 12 studies were included in the review. Five broad categories of intervention were identified: dental education, motivational interviewing, dental checklist, dietary change and incentives. Despite statistically significant changes in plaque indices and oral health behaviours as a result of interventions using dental education, motivational interviewing and incentives, it is unclear if these changes are clinically significant.

conclusionAlthough some positive results in this review demonstrate that dental education shows promise as an intervention for those with SMI, the quality of evidence was graded as very low to moderate quality. Further research is in this area is required to provide more conclusive evidence.

Indexed as

Cost-Benefit AnalysisDiet TherapyHumansMental DisordersMotivationMotivational InterviewingOral Health

Identifiers

PMID34852003
PMCPMC8635332

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.